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#252 Jun 28 2009 at 11:53 AM Rating: Decent
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Xsarus wrote:
Here in Manitoba we have gov't car insurance. Our premiums and payments are among the lowest anywhere. When you get in an accident, it's immediately settled without any court costs as there are no competing companies to try and sue each other. When they run a surplus everyone gets rebates on their insurance next year. Government run things can be absolutely fantastic and far better then the private alternatives.
Shut up and let me keep fetishizing the private sector. I'm about to ***.
#253 Jun 28 2009 at 1:29 PM Rating: Decent
Sweetums wrote:
Xsarus wrote:
Here in Manitoba we have gov't car insurance. Our premiums and payments are among the lowest anywhere. When you get in an accident, it's immediately settled without any court costs as there are no competing companies to try and sue each other. When they run a surplus everyone gets rebates on their insurance next year. Government run things can be absolutely fantastic and far better then the private alternatives.
Shut up and let me keep fetishizing the private sector. I'm about to ***.
And we bring the whole thing full circle and roll Billy Mays into this.
#254 Jun 28 2009 at 2:36 PM Rating: Excellent
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Terrifyingspeed wrote:
The USPS has done so horribly, they have CREATED numerous, huge, high income, high profit private entities that do the SAME thing as them !
Not really. The USPS's main facet is letter delivery (especially bulk rate stuff, i.e. junk mail). Fed-Ex, UPS, etc specialize in package delivery and in rapid delivery.

DMV's are a state-by-state affair. The ones in Illinois are actually pretty good these days following a major overhaul to the system a while back. The last time I needed to renew my license was in March. On a Saturday morning it took me about 20min to walk in, talk to the right people, fill out the right forms, get my picture taken and walk out the door with a shiny new license. Four years before that it was even quicker since IL allows drivers with clean records to just fill out a form, mail it in and get an extension sticker to place on their license making it good for four more years.

So if your argument is that the Auto Club is even easier than mailing a check and getting four years added to your license, you have an excellent point. Our registration is mail in. Emissions testing is done for free at multiple centers throughout the area and, these days, is a five minute affair involving them hooking up to the engine computer. In the old days, it was a ten minute affair of them hooking up a computer to your tailpipe.

There's plenty of fine public universities. A degree from University of Illinois is worth more than one from a dozen area private colleges I could name. Not that you'd recognize any of them given that non-impressive private schools are a dime a dozen.
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#255 Jun 28 2009 at 4:05 PM Rating: Default
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Not really. The USPS's main facet is letter delivery (especially bulk rate stuff, i.e. junk mail). Fed-Ex, UPS, etc specialize in package delivery and in rapid delivery



My point exactly, several large private entities have found a way (even with HUGE capital investment) to make a profit doing something REDUNDANT to
an existing GOVT agency. Yes the USPS still does, & always has, delivered packages.

The DMV is (good for you in IL) a stereotypical butt of jokes because they have been notoriously un-user friendly, inneficient, & unpleasant.

In CA they have made changes also... still sucks.

And, please dont pretend we dont all know how revered higher EDU. has been & still is.

Obviously there are great public schools.... but on a resume... on a Diploma on a wall, on a future son in law, c'mon.

My primary point is : I dont know of a GOVT program that has stepped in and provided 1)BETTER SERVICE 2) At a LOWER COST.... which is supposedly the point.

But I do know MANY examples of Private entities doing so.

(obviously many people have bad experiences with them as well)

But the crux is, at its simplest, in private bus. the customer is an opportunity (for income etc) whereas in GOVT they are a "Problem" & the
way they are treated or have their needs met has no impact on either the employees or "owners" bottom line.

Will provide some more examples:(1) Private Penitentiaries are springing up all over the country... right, wrong, or indifferent, this is happening because states are realising its the ONLY way to discharge their custodial responsibilities to the taxpayer & not go broke.

(2) Private Security firms, with armed personnel, cars with flashy lights & radios... because there are areas where police response is not adequate TO THE PEOPLE PAYING FOR IT & they are willing to pay more !!

Why are Libraries struggling and Barnes & Noble, Borders et al are growing wildly ? (not as much lately)
Because people enjoy going to them ? Hmmm....

I, personally feel the single most important aspect to health care costs is Tort reform (the courts are another huge sinkhole in our economy)

& is actually another area where the private sector has been called on to help,
most jurisdictions allready have Retired judges acting as Mediators on most levels, also many agencies use "Administrative Law Judges' handling as many cases as possible (un-employment & disabilty appeals, workers comp, license review etc.) these are ALL augmenting the Public sector so it can work.

& they also cost more money, beyond what taxpayers are allready paying to get the job done.

#256 Jun 28 2009 at 4:37 PM Rating: Excellent
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Terrifyingspeed wrote:
Quote:
Not really. The USPS's main facet is letter delivery (especially bulk rate stuff, i.e. junk mail). Fed-Ex, UPS, etc specialize in package delivery and in rapid delivery
My point exactly, several large private entities have found a way (even with HUGE capital investment) to make a profit doing something REDUNDANT to
an existing GOVT agency. Yes the USPS still does, & always has, delivered packages.
I'm aware that the USPS delivers packages. However, package delivery is not the meat and bread of their business. You'd be more accurate to compare them to telegram companies. When was the last time you sent a telegram?
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The DMV is (good for you in IL) a stereotypical butt of jokes because they have been notoriously un-user friendly, inneficient, & unpleasant.
So what? You're trying to prove that comedians are unoriginal?
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In CA they have made changes also... still sucks.
Ok. So we've shown that an agency which is handled by the state can be good or bad depending on the state running it. Not sure what to tell you there.
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Obviously there are great public schools.... but on a resume... on a Diploma on a wall, on a future son in law, c'mon.
I don't even know what you're trying to argue here. Are you saying that any random private college is, on average, better than any public college?
Quote:
My primary point is : I dont know of a GOVT program that has stepped in and provided 1)BETTER SERVICE 2) At a LOWER COST.... which is supposedly the point.
I can mail a letter to anywhere in the continental United States in about 2-3 days for less than fifty cents and have an excellent chance of it arriving in the same condition I sent it in. I'm fairly certain you won't find me a private service offering the same.

Quote:
But the crux is, at its simplest, in private bus. the customer is an opportunity (for income etc) whereas in GOVT they are a "Problem" & the
way they are treated or have their needs met has no impact on either the employees or "owners" bottom line.
With private insurance, I represent nothing more than an opportunity for the cmpany to try to squeeze the maximum amount of profit from me while providing the absolute least amount of service without me hitting a breaking point of leaving the insurance plan. Because most people's insurance is pooled through their place of employment, the insurance company knows that I can not easily select another plan thus they can squeeze me even harder and provide even less service. I am nothing more than dollar signs to them and every penny they have to spend on keeping me healthy represents a penny lost to them. Therefore, they will do everything in their power to not spend a single penny on me unless they absolutely have to.

A public option would give people an affordable place to go when the private insurance company is busy trying to **** me over on whether or not they believe I need that gastric scan (never mind the doctor called for it) because, ya know, those things aren't cheap and it's their opinion that maybe I should just take some medication for six months and see how that goes (never mind the doctor already dismissing that option as not going to work). And I'm supposed to be afraid of a government plan? Smiley: laugh
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(2) Private Security firms
Just to be clear on this: bad jokes about the DMV are enough to dismiss any positive examples of the state running the DMV but I assume "rent-a-cop" jokes won't be sufficent to dismiss this?
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Why are Libraries struggling and Barnes & Noble, Borders et al are growing wildly ? (not as much lately)
This is a joke right? Borders is slowly going bankrupt and is slashing their inventories and floor sizes while trying to fill real estate with papercraft supplies.

Barnes & Noble was rated "underperforming" by Merril Lynch and is a recommended "not buy" because of dropping profits. Libraries, incidentally, are not comparable since they don't take in money (aside from fines) and are dependant upon local and state money to fund them. They are enjoying quite a resurgance in today's climate as people rediscover "Hey, I can get books and CDs and movies and even video games from this place for free rather than go to Borders or Blockbuster".

This brings up an amusing "full circle" point though. Part of what's killing Borders and Barnes & Noble is online purchasing through Amazon. Buy a book through Amazon.com lately? Tell me... did they ship it UPS, Fed-Ex, DHL or... USPS? Which do you think is their most common package courier?

Edited, Jun 28th 2009 7:47pm by Jophiel
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#257 Jun 28 2009 at 4:49 PM Rating: Good
My public high school was named one of the top 50 schools in the nation while I was attending it . . .

And yes, while a degree from Harvard Law looks better than a degree from UGA Law, a degree from UGA Law still looks better than a degree from Gonzaga University Law. Don't knock the Research I public university cred.

A reminder: USPS will deliver a letter at first class for under 50 cents. FedEx is gonna charge you $2.00 for their slowest delivery rate.

Edited, Jun 28th 2009 8:52pm by catwho
#258 Jun 28 2009 at 4:58 PM Rating: Decent
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I don't even know what you're trying to argue here. Are you saying that any random private college is, on average, better than any public college?


I believe that he's arguing that the public perception of private versus public education will cockblock the opportunities of anyone attending a public university, regardless of the quality of the specific education, and that we should accept this to be true and not attempt to correct the erroneous perception.

Quote:
This is a joke right? Borders is slowly going bankrupt and is slashing their inventories and floor sizes while trying to fill real estate with papercraft supplies.


I worked for Chapter 11 Books once: "Prices so low, you'd think we'd go bankrupt."

Guess what ******* happened? It was hilarious.
#259 Jun 28 2009 at 5:04 PM Rating: Good
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Pensive wrote:
Quote:
I don't even know what you're trying to argue here. Are you saying that any random private college is, on average, better than any public college?


I believe that he's arguing that the public perception of private versus public education will cockblock the opportunities of anyone attending a public university, regardless of the quality of the specific education, and that we should accept this to be true and not attempt to correct the erroneous perception.


I don't know... I went to a public university.All the people I talked with and put resumes in with seemed to like the school I went to, there were no negative reactions because it wasn't a private college. Of course it wasn't "University of <StateName>" or "<StateName> State"
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#260 Jun 28 2009 at 5:06 PM Rating: Excellent
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Been in a Border's lately? The one near me removed most of their center display tables, thinned their shelves by about 10-15% and removed an entire large corner's worth of book merchandise in order to sell wrapping paper and scrapbooking supplies. Given the large nature of the store, it looks cavernous and empty.

I might have thought this was unique except another forum I go on had a "WTF is up with Borders?" thread where folks all over the country were reporting in their their's was undergoing the same treatment.
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#261 Jun 28 2009 at 5:10 PM Rating: Good
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Jophiel wrote:
Been in a Border's lately? The one near me removed most of their center display tables, thinned their shelves by about 10-15% and removed an entire large corner's worth of book merchandise in order to sell wrapping paper and scrapbooking supplies. Given the large nature of the store, it looks cavernous and empty.

I might have thought this was unique except another forum I go on had a "WTF is up with Borders?" thread where folks all over the country were reporting in their their's was undergoing the same treatment.


The only Borders I ever visit are the ones inside airports. And they don't have many books. Mostly snacks, drinks, and magazines. I always wonder what type of people buy porno mags in the airport...
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#262 Jun 28 2009 at 5:15 PM Rating: Excellent
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TirithRR wrote:
I don't know... I went to a public university.All the people I talked with and put resumes in with seemed to like the school I went to, there were no negative reactions because it wasn't a private college. Of course it wasn't "University of <StateName>" or "<StateName> State"
There's also the point that those esteemed private schools are still non-profit entities.

If you want to compare them to private insurance companies, maybe you should compare them to for-profit schools? Which one sounds more impressive on a resume, University of Michigan or University of Phoenix?
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#263 Jun 28 2009 at 5:23 PM Rating: Decent
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The phoenix one because Phoenix's are mythical birds and they light on fire and resurrect themselves who do they think they are jesus christ or something and oh my god they're so awesome!
#264 Jun 28 2009 at 5:27 PM Rating: Decent
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Terrifyingspeed wrote:
Obviously there are great public schools.... but on a resume... on a Diploma on a wall, on a future son in law, c'mon.

c'mon - a convincing argument! Too bad that in a forum post you can't convey the inflection of a burly, blue collar New Yorker saying it. That'd make it really work: "c'maaahhnnnnnn"

#265 Jun 28 2009 at 6:45 PM Rating: Excellent
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Quote:
But the crux is, at its simplest, in private bus. the customer is an opportunity (for income etc) whereas in GOVT they are a "Problem" & the
way they are treated or have their needs met has no impact on either the employees or "owners" bottom line.
As Jophiel said, all a private company is interested in is making money. To go to my example of car insurance in Manitoba, MPI is not allowed to run at a profit, and this means that insurance premiums reflect the actual cost for any given year. When there is a surplus due to less bad weather and so less accidents, every Manitoban will benefit and get money back. What MPI is interested in is simply to not to lose money.

Not that government run programs can't be wasteful or corrupt, but any powerful organization has these same problems and when done properly government run programs have the potential to be much better for the people.

My view of these government programs is that the government should be dealing with essential services. Things that people need to stay alive and function in society, the government has a role, so they should be involved in housing, feeding, health, but they shouldn't be running lawn care. I would argue that insurance in todays world is a necessary thing for most people, and given how well they do where I live I fully support that.

Edited, Jun 28th 2009 9:48pm by Xsarus
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#266 Jun 28 2009 at 9:23 PM Rating: Good
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One thing I find especially humorous about insurance companies is the issue of gastric bypass or lap-band surgeries. (I don't like these, but I like to run after work so I'm probably not the target demographic of these procedures.) Due to there being a minimum weight for the insurance company to consider covering it, a family member of mine actually went on eating binges to deliberately gain weight to lose weight. It was on the order of 10-20 pounds, so it was likely not terribly significant to the doctor considering the amount of weight to be lost.

I love bureaucrats.

Edited, Jun 29th 2009 12:24am by Sweetums
#267 Jun 29 2009 at 4:41 AM Rating: Decent
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Sweetums wrote:
One thing I find especially humorous about insurance companies is the issue of gastric bypass or lap-band surgeries. (I don't like these, but I like to run after work so I'm probably not the target demographic of these procedures.) Due to there being a minimum weight for the insurance company to consider covering it, a family member of mine actually went on eating binges to deliberately gain weight to lose weight. It was on the order of 10-20 pounds, so it was likely not terribly significant to the doctor considering the amount of weight to be lost.

I love bureaucrats.

Edited, Jun 29th 2009 12:24am by Sweetums


and of course if they dont address the issues that caused them to eat their pain away, they will gain the weight back in a few years.
#268REDACTED, Posted: Jun 29 2009 at 5:26 AM, Rating: Sub-Default, (Expand Post) If you're curious how govn run healthcare is going to be run feel free to drop by your local va and get back to me.
#269 Jun 29 2009 at 5:36 AM Rating: Excellent
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Rationalization!
Quote:
Until the early 1990s, care at VA hospitals was so substandard that Congress considered shutting down the entire system and giving ex-G.I.s vouchers for treatment at private facilities. Today it's a very different story. The VA runs the largest integrated health-care system in the country, with more than 1,400 hospitals, clinics and nursing homes employing 14,800 doctors and 61,000 nurses. And by a number of measures, this government-managed health-care program--socialized medicine on a small scale--is beating the marketplace. For the sixth year in a row, VA hospitals last year scored higher than private facilities on the University of Michigan's American Customer Satisfaction Index, based on patient surveys on the quality of care received. The VA scored 83 out of 100; private institutions, 71. Males 65 years and older receiving VA care had about a 40% lower risk of death than those enrolled in Medicare Advantage, whose care is provided through private health plans or HMOs, according to a study published in the April edition of Medical Care. Harvard University just gave the VA its Innovations in American Government Award for the agency's work in computerizing patient records.

And all that was achieved at a relatively low cost. In the past 10 years, the number of veterans receiving treatment from the VA has more than doubled, from 2.5 million to 5.3 million, but the agency has cared for them with 10,000 fewer employees. The VA's cost per patient has remained steady during the past 10 years. The cost of private care has jumped about 40% in that same period.


Edited, Jun 29th 2009 8:40am by Jophiel
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#270 Jun 29 2009 at 6:09 AM Rating: Default
Jophed,

I guess you forgot to quote this from this obviously biased TIME piece;

Quote:
Dawn Halfaker, a former Army captain who lost her right arm in Iraq, says negotiating the bureaucracy to get treatment for all her medical needs has been frustrating at times. She had to wait eight months for an appointment at the Washington hospital to get her teeth cleaned. Even so, she says, the care "is not as bad as I thought it would be."


See how that attitude can skew the results of some college satisfaction index?

How about

Quote:
Vets still gripe about wading through red tape for treatment. Some 11,000 have been waiting 30 days or more for their first appointment.



The end of the article brings Times agenda to the point;

Quote:
But conservatives fear such an arrangement would be a Trojan horse, setting up an even larger national health-care program and taking more business from the private sector. Congress has no plans to enlarge the scope of veterans' health care--much less consider it a model for, say, a government-run system serving nonvets


Attack conservatives while pushing socialized healthcare.




Now allow me to post a bit more recent source;

Quote:
Oliva is but one quaking voice in a vast outpouring of accounts filled with emotion and anger about the mistreatment of wounded outpatients at Walter Reed Army Medical Center. Stories of neglect and substandard care have flooded in from soldiers, their family members, veterans, doctors and nurses working inside the system. They describe depressing living conditions for outpatients at other military bases around the country, from Fort Lewis in Washington state to Fort Dix in New Jersey. They tell stories -- their own versions, not verified -- of callous responses to combat stress and a system ill equipped to handle another generation of psychologically scarred vets.

The official reaction to the revelations at Walter Reed has been swift, and it has exposed the potential political costs of ignoring Oliva's 24.3 million comrades -- America's veterans -- many of whom are among the last standing supporters of the Iraq war. In just two weeks, the Army secretary has been fired, a two-star general relieved of command and two special commissions appointed; congressional subcommittees are lining up for hearings, the first today at Walter Reed; and the president, in his weekly radio address, redoubled promises to do right by the all-volunteer force, 1.5 million of whom have fought in Iraq and Afghanistan.

But much deeper has been the reaction outside Washington, including from many of the 600,000 new veterans who left the service after Iraq and Afghanistan. Wrenching questions have dominated blogs, talk shows, editorial cartoons, VFW spaghetti suppers and the solitary late nights of soldiers and former soldiers who fire off e-mails to reporters, members of Congress and the White House -- looking, finally, for attention and solutions


Quote:
The VA has a backlog of 400,000 benefit claims, including many concerning mental health. Vietnam vets whose post-traumatic stress has been triggered by images of war in Iraq are flooding the system for help and are being turned away.


Yeah govn healthcare sounds great.

http://www.washingtonpost.com/wp-dyn/content/article/2007/03/04/AR2007030401394_2.html



But Like I said in my previous post if you want a good example of govn healthcare go and talk to some veterans at your local VA. Or are you scared to discover the truth?









Edited, Jun 29th 2009 10:11am by publiusvarus

Edited, Jun 29th 2009 10:11am by publiusvarus
#271 Jun 29 2009 at 6:40 AM Rating: Excellent
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It's an amazing day when Varus blasts a Time article positive about the VA system as "biased" but praises a Washington Post article for its reporting that the VA system under Bush was complete *** Smiley: laugh
Quote:
Like I said in my previous post if you want a good example of govn healthcare go and talk to some veterans at your local VA. Or are you scared to discover the truth?
We have veterans and spouses of veterans right here speaking about their experiences. Why are you afraid of their stories?
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#272 Jun 29 2009 at 6:48 AM Rating: Decent
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There's certainly a lot of work to be done. That's what happens when a valuable program languishes under not-so-benign neglect.

linked article wrote:
Overhauling the VA represents one of the most daunting challenges facing the Obama administration after years of mismanagement and neglect by the Bush administration who stacked the agency with political cronies that kept the agency underfunded, wrapped in bureaucratic red tape and placed the interests of veterans last on a list of priorities.

Indeed, one of the VA's biggest failures during the Bush administration's tenure was its inability to fully implement critical components of the Mental Health Strategic Plan (MHSP) at regional offices throughout the country.

The MHSP, unveiled in 2004, would have provided veterans who show signs of suicide or are suffering from post traumatic stress disorder with immediate mental health care and eliminated the waiting period for receiving treatment.

But according to a November 2006 report by the Government Accountability Office (GAO), spending for the program was substantially less than what the VA had proposed - leaving untreated tens of thousands of veterans who were at risk of suicide.


The guy in charge likened suicide to cancer - it "happens". Nothing to be done about it! No effective prevention, screening, nope, won't help so failing to do it is not negligent.

Compassionate conservatism, my ***.

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#273 Jun 29 2009 at 8:22 AM Rating: Decent
You know, it seems the reason that government run programs have sucked *** so bad in the US is because conservatives take them over and **** them up. The VA seems to be an egregious example of this.

It probably will take liberals in charge to get the job done right. We'll see.
#274 Jun 29 2009 at 9:18 AM Rating: Decent
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My grandfather used the V.A. to help with his medical care and he was allowed to see a private physician for most things (since the hospital was so far away) I believe he just had to visit the V.A. once per year.
#275REDACTED, Posted: Jun 29 2009 at 9:49 AM, Rating: Sub-Default, (Expand Post) Cat,
#276 Jun 29 2009 at 11:19 AM Rating: Excellent
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You know that the VA is the envy of the world when it comes to outcomes in certain areas of mental health (especially PTSD) - people from allover the world (including me) visit them to find out how come they deliver better results at lower cost than almost everywhere else.

When I speak to their clinicians, from front line doctors to corporate clinical leaders, they are all adamant that their strength is their freedom from the profit levers of private companies. Go figure.
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